HLA-independent T cell receptors for targeting tumors with low antigen density

Jorge Mansilla-Soto1,2, Justin Eyquem3,4,5, Sascha Haubner3,4

  • 1Center for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, NY, USA. mansillj@mskcc.org.

Nature Medicine
|January 14, 2022
PubMed

Insights

New HLA-independent T cell receptors (HIT receptors) show enhanced tumor recognition and antigen sensitivity compared to CARs, even with low antigen expression. HIT receptors offer a promising strategy for potent cancer immunotherapy.

Area of Science:

  • Immunology
  • Molecular Biology
  • Oncology

Background:

  • Chimeric antigen receptors (CARs) are crucial for potent immune responses against cancer.
  • Tumor escape due to low target antigen expression limits CAR efficacy.
  • Novel strategies are needed to enhance T cell-mediated tumor recognition.

Purpose of the Study:

  • To engineer T cells with enhanced antigen sensitivity beyond current CAR designs.
  • To develop HLA-independent T cell receptors (HIT receptors) for improved cancer targeting.
  • To assess the efficacy of HIT receptors in preclinical cancer models.

Main Methods:

  • Editing the TRAC locus in human T cells to create HIT receptors.
  • Reconfiguring T cell receptor-CD3 complex with CAR-matched immunoglobulin chains.
  • Evaluating HIT T cell sensitivity and tumor recognition in vitro and in vivo.
  • Augmenting HIT T cell persistence with coexpressed CD80 and 4-1BBL.

Main Results:

  • HIT receptors provide high antigen sensitivity, surpassing CD28-based CARs.
  • HIT receptors enable tumor recognition even with low target antigen expression.
  • Functional persistence of HIT T cells is enhanced by CD80 and 4-1BBL coexpression.
  • HIT receptors demonstrated efficacy in xenograft models of B cell leukemia and acute myeloid leukemia.

Conclusions:

  • HIT receptors represent a significant advancement in T cell-based cancer immunotherapy.
  • These receptors offer superior antigen sensitivity and overcome limitations of low antigen expression.
  • HIT receptors are well-suited for targeting cell surface antigens with low abundance, improving therapeutic outcomes.

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